LAKESIDE CHIROPRACTIC PC (NPI# 1992713903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992713903 |
| Entity Type | Organization |
| Organization Name | LAKESIDE CHIROPRACTIC PC |
| Practice Address |
200 N Third St Conneaut Lake PA 16316 |
| Mailing Address |
Po Box 169 Conneaut Lake PA 16316 |
| Practice Telephone | 8143821970 |
| Practice Fax Number | 8143823619 |
| Mailing Telephone | 8143821970 |
| Mailing Fax Number | 8143823619 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | DR. TIMOTHY B VYROSTEK (CLINIC DIRECTOR) |
| Authorized Official Telephone | 8143821970 |
| Authorized Official Credential | DC CCSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PALMETTO GBA | 350056097 | 01 |
| PA | RR MEDICARE | 350056097 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417133265 | Lakeside Chiropractic PC | Clinic/Center | 1640 E Oliver Pl, Show Low, AZ 85901-6117 | 2008-01-10 |
| Street Address |
200 N THIRD ST |
| City | CONNEAUT LAKE |
| State | PA |
| Zip Code | 16316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003929308 | Timothy B Vyrostek | Chiropractor | 200 N Third St, Lakeside Chiropractic PC, Conneaut Lake, PA 16316 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268858 | Kimberly Nicole Litwin | Pharmacist | 100 South 3rd Street, Conneaut Lake, PA 16316 | 2019-07-30 |
| 1285800862 | Beverly A Kennedy | Pharmacist | 100 S Third St, Conneaut Lake, PA 16316 | 2008-05-05 |
| 1063596708 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 100 South Third Street, Conneaut Lake, PA 16316 | 2006-10-25 |
| 1295829273 | Chrissy M Bosley | Counselor | 11147 State Hwy 18 Suite #5, Suite #5, Conneaut Lake, PA 16316 | 2006-10-03 |
| 1447220751 | Conneaut Lake Area Ambulance Service | Ambulance | 290 S 4th St Extension, Conneaut Lake, PA 16316 | 2006-01-26 |
| 1275516619 | Paul Thomas Foulk | Dentist | 155 N 3rd St, Conneaut Lake, PA 16316 | 2005-11-21 |
| 1558661413 | Denise Lee Bean | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2010-10-26 |
| 1194922310 | Leighanne Young | Pharmacist | 100 South Third Street, Conneaut Lake, PA 16316 | 2007-06-29 |
| 1225321649 | Dale R Weaver | Pharmacist | 100 South Third St., Conneaut Lake, PA 16316-1108 | 2011-05-18 |
| 1871596429 | Candyce A. Lucian | General Practice | 8508 State Hwy 285, Conneaut Lake, PA 16316-1120 | 2005-05-27 |
| Find all providers in zip 16316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083795801 | Brett Alan Keyser | Chiropractor | 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316-6809 | 2006-10-18 |
| 1396918215 | Conneaut Lake Chiropractic, PC | Chiropractor | 13245 Conneaut Lake Rd, Conneaut Lake, PA 16316-6809 | 2008-04-11 |
| 1003929308 | Timothy B Vyrostek | Chiropractor | 200 N Third St, Lakeside Chiropractic PC, Conneaut Lake, PA 16316 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609171 | Richard Mark Schoonmaker Jr. | Chiropractor | 161 Dowlin Forge Rd, Exton, PA 19341-1550 | 2020-11-04 |
| 1568062198 | Chandler Carey | Chiropractor | 737 Good Rd, Airville, PA 17302-9467 | 2020-11-01 |
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1467051094 | Orne K. Bey Jr. | Chiropractor | 1525 Park Manor Blvd # 273, Pittsburgh, PA 15205-4805 | 2020-10-24 |
| 1285232421 | Hevner Chiropractic Center, LLC | Chiropractor | 79 E Main St Ste 205, Lititz, PA 17543-1941 | 2020-10-10 |
| 1063029718 | Power Forward Chiropractic LLC | Chiropractor | 138 W Whitehall Rd, State College, PA 16801-5931 | 2020-09-27 |
| 1043826266 | Optimal Health and Performance | Chiropractor | 7039 W Chester Pike, Upper Darby, PA 19082-1705 | 2020-09-22 |
| 1396351698 | Comforting Hands Chiropractic LLC | Chiropractor | 1151 Cornwall Rd Ste 5, Lebanon, PA 17042-7233 | 2020-09-22 |
| 1790396398 | Comunale Chiropractic LLC | Chiropractor | 14 Mount Bethel Plz, Mount Bethel, PA 18343-5212 | 2020-08-17 |
| 1780292755 | Physicians Medical Weight Loss, LLC | Chiropractor | 163 N Commerce Way, Bethlehem, PA 18017-8933 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CONNEAUT LAKE |
| Zip Code | 16316 |
Please comment or provide details below to improve the information on LAKESIDE CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.